Organization Active NPI

Ohio Valley Surgical, Assoc. Inc.

  • Vascular Surgery Physician
  • Steubenville, OH
National Provider Identifier
1871619841
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35031012 Issued in OH
Legal business name
OHIO VALLEY SURGICAL, ASSOC. INC.
Practice address
523 N 4TH St
Steubenville, OH 43952-1933
Phone
(740) 282-1144
Fax
(740) 282-2374
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dominic Macedonia, M.D.
Title
Owner
Phone
(740) 282-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 35031012 OH Primary

Addresses

Primary practice location

523 N 4TH St
Steubenville, OH 43952-1933

Mailing address

523 N 4TH St
Steubenville, OH 43952-1933
Phone (740) 282-1144

Other identifiers 1

IdentifierTypeStateIssuer
0286051MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1871619841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 4TH ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521933",
            "telephone_number": "740-282-1144",
            "fax_number": "740-282-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N 4TH ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521933",
            "telephone_number": "740-282-1144",
            "fax_number": "740-282-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY SURGICAL, ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MACEDONIA",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-282-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35031012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.